Let's offroad / mountain bike / mtb / ride dirt

As for lack of medical support, if it is in the Alps then chances are you can still get an air ambulance helicopter up there pretty speedily.

Air Ambulance dose not stop you from keep on rolling down a hill. Also I don't like the attitude of call the air ambulance it's no big deal, it is a big deal, it's a very expensive and dangerous situation to pick people off of the mountain.

I don't know about in the Alps but in the UK mountain rescue are volunteers as I'm sure you're aware. Self-sufficient is the key where ever possible.